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GP-led care benefits menorrhagia

GPs can reduce outpatient attendance for menorrhagia by taking on responsibility for booking investigations or surgery.

Redesigning services with GPs leading care appears to improve the experience of the patient while maintaining quality of care, a study found.Among 193 patients, the proportion requiring follow-up care in hospital was just 14 per cent where GPs led care, compared with 30 per cent for usual care controls.Under the trial of the Bridges scheme for primary care management, GPs booked investigations, surgery and other secondary care interventions, with secondary care consultations reserved for 'complex' cases.Study leader Dr Marwan Habiba, senior lecturer in the department of cancer studies and molecular medicine at the University of Leicester, said: 'One of the most significant findings in our study was that fears the Bridges pathway might result in an increased workload in primary care did not materialise. 'On the contrary, we demonstrated the integrated approach reduced workload both in primary and secondary care.'Patients in the Bridges group reported a better experience in terms of waiting times, co-ordination between primary and secondary care and access. The results were reported in the latest issue of Quality and Safety in Healthcare.

• For an update on menorrhagia guidelines, go to

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